Cultural Responsiveness Scenario Twoa Nineteen Year Old Latino Male Wa ✓ Solved

CULTURAL RESPONSIVENESS SCENARIO TWO A nineteen-year old Latino male was admitted to the hospital with a gunshot wound to the back of his leg. His injury was the result of an encounter with the police who had randomly stopped his car and were performing a search when he fled the scene. He was placed on the orthopedics floor in an empty four-bed room at the end of the corridor and the staff seemed anxious and wary of his presence. Although his leg was immobilized in traction, his loud rap music, girlfriend’s visits throughout the day, and use of profanity to demand service were building a wall of distance between the young man and the staff. No one wanted the patient in 454 D an assignment and most staff avoided the room during their shifts.

The nurse manager requested consultation from the psychiatric clinical nurse specialist that worked with the staff throughout the hospital. The consultant interviewed staff members to assess the situation and to determine what interventions had been made. The staff explained that nothing worked and that they had just given up and stayed away, describing the patient as “Latino, load, and dangerousâ€. Except on admission to the unit, no one had actually had a conversation with Manuel. The consultant sat down by Manuel’s bedside and asked him how he was experiencing his hospitalization.

Manuel explained that he felt isolated and was sure that he could die in this large empty room and that no one would know and no one would help. He described how infrequently he saw the staff or anyone except his girlfriend and family and how angry he was with the staff for treating him as if he was contagious. The consultant acknowledged Manuel’s sense of isolation but also his responsibility in helping to create and sustain the situation. He told the consultant that he knew he frightened the staff and found a small level of satisfaction from this. The consultant recommended compromised that required behavioral change on the part of Manuel and the staff.

For Manuel: turn the down, stop the profanity, and speak politely with the staff: move Manuel to a room closer to the center of activity and reengage with him through their physical presence and conversation. And, with the assistance of the consultant, explore the role that bias and cultural style differences may have played in scenario. 1. What is your reaction to the consultant’s recommendations? 2.

Do you think the consultant’s suggested compromise will resolve the conflict? Why or why not? 3. Are there other recommendations that you would make?

Paper for above instructions

Cultural Responsiveness in Healthcare: Navigating Bias and Isolation

Cultural responsiveness in healthcare emphasizes understanding and respecting diverse backgrounds and identities while providing care (Campinha-Bacote, 2002). In the scenario presented, a 19-year-old Latino male named Manuel is hospitalized after a gunshot wound. The situation indicates significant bias and a lack of engagement from the staff, who tend to view Manuel as a “dangerous” individual without attempting to communicate with him. This case underscores the urgent need for healthcare professionals to adopt culturally responsive practices, demonstrating compassion and engagement while addressing underlying cultural perceptions.

Consultant's Recommendations

The consultant's recommendations stress the need for both Manuel and the staff to enact changes. Firstly, it is crucial to acknowledge that Manuel’s experiences and feelings of isolation need validation. The recommendations encourage behavioral changes such as reducing loud music and profanity while emphasizing the need to speak politely with healthcare providers. In turn, staff members are prompted to actively engage with Manuel, moving him to a more populated area of the hospital to promote interaction. This dual approach can establish common ground and foster meaningful communication between Manuel and the staff.
I find the consultant's suggestions to be a balanced approach that encompasses both accountability and empathy. Manuel’s acknowledgment of his intimidation factor implies a willingness to change behaviors that may alienate others (Lindsey et al., 2010). The recommendation for staff to interact more positively with him can help dismantle prejudicial views they hold. Such interaction can reduce the fear and bias created by ignorance about unique cultural expressions and values.

Efficacy of the Compromise

While the consultant's recommendations are a step in the right direction, it is uncertain if they will entirely resolve the conflict. Addressing visible behaviors alone does not ensure that deeper biases are confronted effectively (Sue et al., 2009). The staff may still hold underlying assumptions regarding Manuel being “Latino, loud, and dangerous.” In essence, these stereotypes may not be extinguished merely through this compromise.
There is a reliance on interaction for changing perceptions, but if the interactions remain superficial and uninformed by cultural education, the cycle of bias may continue (Berk et al., 2008). Resolving such a complex cultural issue requires sustained efforts from both parties—Manuel and the staff must engage in meaningful dialogue that examines differential treatment and seeks to understand each other’s perspectives.

Additional Recommendations

1. Cultural Competence Training: It is crucial to implement ongoing cultural competence training for staff to better understand the cultural backgrounds of their patients. This training would empower healthcare providers to recognize their biases and understand how cultural differences may impact patient interactions (López et al., 2016).
2. Facilitated Dialogue: Creating safe spaces for dialogue between Manuel and the healthcare team could build trust and encourage understanding. Involving a mediator or psychiatric professional may facilitate deeper conversations about misunderstandings, fears, and expectations with sensitivity to each party's cultural contexts (Tervalon & Murray-García, 1998).
3. Peer Support Programs: Engaging peer support programs can help connect patients with shared cultural backgrounds to foster rapport and community. Such programs can help Manuel feel less alone and develop a sense of belonging within the hospital, potentially smoothing the interactions with the healthcare staff (Larma et al., 2021).
4. Holistic Approach to Care: This scenario emphasizes the need to understand patients holistically. By employing a biopsychosocial approach to care, healthcare providers can address not only the physical health issues but also the psychological and social aspects that may influence a patient’s behavior and responses (Engel, 1977).
5. Structured Feedback Mechanisms: Implementing structured feedback mechanisms allows healthcare providers to receive real-time feedback from patients regarding their experiences. This feedback loop can help staff promptly address negative perceptions or behavior before they escalate (Davis et al., 2019).
6. Crisis Intervention Teams: Training specific staff members in crisis de-escalation tactics can also foster better interactions, particularly in high-stress situations, easing the anxiety both the staff and the patient may feel in these encounters (Locke et al., 2020).

Conclusion

This scenario illustrates the importance of cultural responsiveness in healthcare, especially when confronted with ingrained stereotypes and social biases. The consultant’s recommendations present an initial approach to bridge the gap between Manuel and the staff but must be part of a larger framework that includes ongoing education and open dialogue. Cultural attitudes shape patient care; thus, healthcare settings must prioritize understanding and adapting to diverse patient experiences. Ultimately, an environment that fosters engagement, learning, and genuine communication will benefit both patients and providers, enhancing overall healthcare delivery.

References

1. Berk, R. A., et al. (2008). The impact of the racial composition of schools on the achievement of Latino students. Journal of Education for Students Placed at Risk.
2. Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing.
3. Davis, K., et al. (2019). Understanding patient feedback in healthcare. American Journal of Medical Quality.
4. Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science.
5. Lindsey, D., et al. (2010). Culturally Responsive Teaching: A Teacher's Guide to Inclusive Practices.
6. Larma, E. A., et al. (2021). The effects of peer support on patient outcomes in hospitals: A systematic review. Journal of Healthcare Management.
7. Locke, N., et al. (2020). Crisis intervention teams: Leading strategies to improve patient outcomes. Healthcare Management Forum.
8. López, L., et al. (2016). Addressing health disparities in Latino communities through cultural competence. Health Equity.
9. Sue, S., Cheng, J. K. Y., Saad, C. S., & Cheng, J. J. (2012). Asian American mental health: A cultural competence perspective. American Psychologist.
10. Tervalon, M., & Murray-García, J. (1998). Cultural humility versus cultural competence: A reflection on a key difference in the education of health professionals. Journal of Health Care for the Poor and Underserved.